Psychological, psychosocial, and psychophysiological sequelae in a community affected by a railroad chemical disaster

Psychological, psychosocial, and psychophysiological sequelae were studied in a community which had experienced a railroad chemical spill of 19,000 gallons of the toxic pesticide metam sodium. Two hundred twenty exposed residents were compared to 114 controls and paired on age, education, gender, ra...

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Veröffentlicht in:Journal of traumatic stress 1994-10, Vol.7 (4), p.601-624
Hauptverfasser: Bowler, Rosemarie M., Mergler, Donna, Huel, Guy, Cone, James E.
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container_end_page 624
container_issue 4
container_start_page 601
container_title Journal of traumatic stress
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creator Bowler, Rosemarie M.
Mergler, Donna
Huel, Guy
Cone, James E.
description Psychological, psychosocial, and psychophysiological sequelae were studied in a community which had experienced a railroad chemical spill of 19,000 gallons of the toxic pesticide metam sodium. Two hundred twenty exposed residents were compared to 114 controls and paired on age, education, gender, race, and number of children. A clinical interview and physiological measurements (blood pressure, pulse, and cortisol level) were taken, the MMPI‐2, IES Scale, Mood Scale, Environmental Worry, Perceived Social Support, and Perceived Control Scale and a questionnaire were administered. Results indicated greater levels of depression, anxiety, and somatic symptoms in the spill residents in addition to greater environmental worry and lower perceived social support. Spill residents had higher blood pressure and less fluctuation of cortisol levels than controls. No difference on litigation status was obtained except on the IES, Intrusion and the POMS scales. Chemical disasters are associated with a wide variety of psychological, psychosocial, and physiological distress.
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Traum. Stress</addtitle><description>Psychological, psychosocial, and psychophysiological sequelae were studied in a community which had experienced a railroad chemical spill of 19,000 gallons of the toxic pesticide metam sodium. Two hundred twenty exposed residents were compared to 114 controls and paired on age, education, gender, race, and number of children. A clinical interview and physiological measurements (blood pressure, pulse, and cortisol level) were taken, the MMPI‐2, IES Scale, Mood Scale, Environmental Worry, Perceived Social Support, and Perceived Control Scale and a questionnaire were administered. Results indicated greater levels of depression, anxiety, and somatic symptoms in the spill residents in addition to greater environmental worry and lower perceived social support. Spill residents had higher blood pressure and less fluctuation of cortisol levels than controls. No difference on litigation status was obtained except on the IES, Intrusion and the POMS scales. 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source MEDLINE; SpringerNature Journals; Access via Wiley Online Library
subjects Acute Disease
Adult
Adult and adolescent clinical studies
Anxiety disorders. Neuroses
Biological and medical sciences
Blood Pressure
Case-Control Studies
chemical disaster
Disasters
environmental disaster
Female
Hazardous Substances - adverse effects
Humans
Hydrocortisone - blood
Internal-External Control
Interview, Psychological
Jurisprudence
Male
Matched-Pair Analysis
Medical sciences
metam sodium
Middle Aged
Miscellaneous
Pesticides - adverse effects
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychophysiologic Disorders - blood
Psychophysiologic Disorders - diagnosis
Psychophysiologic Disorders - epidemiology
Psychophysiologic Disorders - prevention & control
Psychophysiologic Disorders - psychology
Railroads
Severity of Illness Index
Social Support
Stress Disorders, Post-Traumatic - blood
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - epidemiology
Stress Disorders, Post-Traumatic - prevention & control
Stress Disorders, Post-Traumatic - psychology
title Psychological, psychosocial, and psychophysiological sequelae in a community affected by a railroad chemical disaster
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